| Latisha M Fowler, PHD | |
|
68 W Church St Ste 318, Newark, OH 43055-5050 | |
| (740) 281-1777 | |
| (740) 281-1778 |
| Full Name | Latisha M Fowler |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 11 Years |
| Location | 68 W Church St Ste 318, Newark, Ohio |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275850760 | NPI | - | NPPES |
| 0211419 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbus Womens Wellness Llc | 1254608433 | 19 |
| Entity Name | Ohio State University - Cap |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669047924 PECOS PAC ID: 3375434707 Enrollment ID: O20040323001973 |
| Entity Name | Mid-ohio Psychological Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699749457 PECOS PAC ID: 3577585819 Enrollment ID: O20160509001255 |
| Entity Name | Wellqor Psychological Services Of California, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093173742 PECOS PAC ID: 6103122171 Enrollment ID: O20170324000526 |
| Entity Name | Columbus Womens Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346774742 PECOS PAC ID: 1254608433 Enrollment ID: O20170517003002 |
| Entity Name | Wellqor Psychological Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063920841 PECOS PAC ID: 1658633292 Enrollment ID: O20180329001808 |
| Mailing Address | Practice Location Address |
|---|---|
| Latisha M Fowler, PHD 3850 Wesley Chapel Rd, Zanesville, OH 43701-7158 Ph: (740) 221-5085 | Latisha M Fowler, PHD 68 W Church St Ste 318, Newark, OH 43055-5050 Ph: (740) 281-1777 |
Makayla K Martz, M.ED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 59 Grant St, Newark, OH 43055 Phone: 740-349-7511 | |
Mandi Workman, LPC Counselor Medicare: Medicare Enrolled Practice Location: 65 Messimer Dr, Newark, OH 43055 Phone: 740-522-8477 | |
Cheryl A Smith, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1445 W Main St, Newark, OH 43055 Phone: 513-834-7063 | |
Ms. Teresa A. Key-piciucco, PYSCH ASSISTANT Counselor Medicare: Not Enrolled in Medicare Practice Location: 68 W Church St Ste 318, Newark, OH 43055 Phone: 740-281-1777 Fax: 740-281-1778 | |
Ms. Jessica Ann Mitchell, MA, PC Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 W Church St, Newark, OH 43055 Phone: 740-281-1777 Fax: 740-281-1778 | |
Mrs. Karen Mchugh-fornadel, PC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Sandalwood Dr, Newark, OH 43055 Phone: 614-378-0377 | |
Mr. James Takacs, LICDC-CS Counselor Medicare: Not Enrolled in Medicare Practice Location: 62 E Stevens St, Newark, OH 43055 Phone: 740-366-7303 Fax: 740-366-7305 |